Diaz, Antonio S

Diaz, Antonio S is an individual health care provider with primary practice located at 1250 Waters Pl Suite 507, Bronx NY 10461-2720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Diaz, Antonio S can be contacted via phone (718) 792-4500.

Contact Information

Primary practice address
1250 Waters Pl Suite 507 Bronx NY 10461-2720
Phone: (718) 792-4500
Fax: (718) 792-4502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 196305 New York

Profile Details

NPI number 1902879281
LBN Legal business name Diaz, Antonio S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Nov 9th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902879281 NPPES
New York MEDICAID 01752547

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